2019-04-19T09:31:03-07:00 2018-06-30 990 2017-07-01 341041385 Salem Community Hospital SALE 3303327214 1995 East State Street Salem OH 44460 Michael Giangardella VP Finance/Administration 3303327214 2019-04-19 12.33.201.68 2017 2020-01-14 16:20:31Z Salem Regional Medical Center Dr Anita Hackstedde MD 1995 East State Street Salem OH 44460 110943751 0 X www.salemregional.com X 1913 OH Salem Regional Medical Center (SRMC) is an 87-bed, not-for-profit rural facility, which provides a continuum of medical services to the residents of Columbiana and southern Mahoning counties, including inpatient and outpatient medical and surgical care, orthopedics, intensive care and a 15-bed skilled nursing facility. The Hospital also operates a full-time 24-hour Emergency Department, and treats all patients requiring medical care, irrespective of their financial means. The Hospital provides its services free of charge or on a sliding scale to uninsured/underinsured patients, regardless of race, creed, origin, handicap, age or ability to pay.; in support of its mission- "To Serve. To Care. To Heal." 19 15 1080 133 1281542 0 230893 154050 104006361 99750494 7196007 9574053 954540 1108969 112387801 110587566 0 14743 0 0 53466436 55141855 0 0 0 56724258 55270580 110190694 110427178 2197107 160388 244575881 238336672 82302332 75448531 162273549 162888141 X "To Serve. To Care. To Heal," encompasses the Hospital's mission of providing high quality care on both an inpatient and outpatient basis; and addresses our patients' health care needs at each life stage, within our available resources. SRMC seeks to provide a broad range of diagnostic, inpatient, outpatient and emergency services appropriate for a community-based hospital, while ensuring that sufficient, high-quality primary and specialty physician services are available and accessible to residents of our service area. 1 1 76070000 0 100735167 SRMC's mission and purpose is achieved by providing quality care to the sick and injured on both an inpatient and outpatient basis, while addressing our patients' healthcare needs at each life stage, within our available resources. The Medical Center seeks to provide a broad range of diagnostic, inpatient, outpatient and emergency services appropriate for a community hospital, while ensuring that sufficient, high-quality primary and specialty physician services are available and accessible to residents of our service area. During fiscal year 2018, SRMC provided comprehensive healthcare services including: 4,498 Admissions; 3,648 Surgeries; and 26,041 Emergency Department visits. In support of this commitment, SRMC operates a full-time, 24-hour Emergency Department, and treats all patients requiring emergency medical care, irrespective of their financial means. The Medical Center also accepts all patients covered by Medicare, Medicaid and General Assistance. Subsidized health services provided by the Hospital that are not self-sustaining include obstetric and behavioral health services, and the Medical Center's costs for supporting these services is $1,411,473. SRMC also accepts all patients covered by Medicare, Medicaid and General Assistance. For fiscal year 2018, costs incurred by SRMC for unpaid costs of the Medicaid program were $1,293,595, and unreimbursed costs from other governmental programs were $12,756,027. These community benefits, arising from patient care provided by SRMC are documented to help to relieve a governmental financial and programmatic burden as evidenced through the Medical Center's charitable purpose. 0 0 0 76070000 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 63 0 1 1080 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 19 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X Michael Giangardella 3303327214 1995 East State Street Salem OH 44460 Matt Bender Chair 1 2 X 0 0 0 Todd Olson Vice -chair 1 2 X 0 0 0 Jon Vollnogle Treasurer 1 1 X 0 0 0 Chris Meta Secretary 1 1 X 0 0 0 Dr Meredith Mcnally Chief of Staff 5 35 X 7500 299252 24452 David Mollenkopf Director 1 0 X 0 0 0 Dave Gano Director 1 0 X 0 0 0 Dr Jeffrey Cohen DO Director 1 0 X 0 0 0 John Biastro Director 1 0 X 0 0 0 Peter Apicella MD Director 1 1 X 17148 0 0 Vicki Hall Director 1 1 X 0 0 0 Dr Lauren Fredrickson MD Director 1 0 X 5000 0 0 Vito Abruzzino Director 1 0 X 0 0 0 Ruth Ann Rinto Director 1 1 X 0 0 0 Jeffrey Zimmerman Director 1 1 X 0 0 0 Lynn Scullion O D Director 1 0 X 0 0 0 Terry Criss Director 1 0 X 0 0 0 Nelson Witmer Director 1 0 X 0 0 0 Anita Hackstedde President/CEO 35 5 X 336945 0 45082 Mike Giangardella VP Finance/Administration 38 2 X 206669 0 62947 Barbara Hirst VP Nursing/Human Resources 40 0 X 175894 0 79738 Keith Meredith VP Clinical Operations 40 0 X 154988 0 33286 Sue Bryarly Director of Pharmacy 40 0 X 139346 0 22435 Mark LItalien Director Information Services 40 0 X 134314 0 71325 Diane Spalding Pharmacist 44 0 X 126148 0 5157 Doreen Sheck Pharmacist 42 0 X 121071 0 35250 Kimberly Meek Pharmacist 42 0 X 122363 0 20889 1547386 299252 400561 20 0 1 0 Navin Haffty & Associates 1900 West Park Drive Suite 180 Westborough MA 01581 Consulting Services 1438489 Northstar Anesthesia 6225N State Hwy 161 Suite 200 Irving TX 75038 Medical Services 886469 Inpatient Medical Services Inc 822 Kumho Drive Suite 2202 Fairlawn OH 44333 Medical Services 881619 Laboratory Corporation of America PO box 12140 Burlington NC 27216 Laboratory services 656494 Healogics Wound Care 5220 Belfort Road Suite 130 Jacksonville FL 32256 Healthcare Services 407656 12 0 0 0 0 0 154050 0 154050 Patient Service Revenue 622000 97643049 97643049 0 0 Outside Lab Revenue 621500 326286 0 326286 0 Durable Medical Equipment Revenue 621610 1781159 825903 955256 0 0 0 0 0 99750494 9654258 0 0 9654258 0 0 0 0 0 0 0 0 318726 0 194430 0 124296 0 124296 0 0 124296 0 81550 0 161755 0 -80205 -80205 0 0 -80205 0 Dietary Income 900099 640632 640632 0 0 Gift Shop Income 900099 172558 172558 0 0 Medical Record Fees 900099 16107 16107 0 0 155376 155376 0 0 984673 110587566 99453625 1281542 9698349 14743 14743 1093716 0 1093716 37547180 27857061 9690119 4041632 2990217 1051415 9426716 6517972 2908744 3032611 2171495 861116 170171 0 170171 90120 0 90120 8783021 5743791 3039230 328157 0 328157 4803123 2745238 2057885 0 2605452 0 2605452 4108963 2731234 1377729 26586 13411 13175 1068043 0 1068043 10291370 4207555 6083815 379869 137641 242228 Bad Debts 3057973 3057973 0 0 State Assesment 1676063 0 1676063 0 Drugs and Pharmaceuticals 8049700 8049700 0 0 Medical Supplies 9831969 9831969 0 0 110427178 76070000 34357178 0 4048420 5129956 13099642 11920002 995759 1445045 2958459 2838386 167259126 73454569 97471327 93804557 125675311 123198726 326963 244575881 238336672 11318988 11140911 47300000 45557542 168643 310635 23514701 18439443 82302332 75448531 X 162102024 162802591 171525 85550 0 0 162273549 162888141 244575881 238336672 X 160388 -371248 0 0 0 825452 X 0 1 X 1 0 X 2330745 0 2330745 113457568 0 45369487 68088081 2168169 0 598177 1569992 48319643 0 27486905 20832738 983001 0 0 983001 93804557 0 Deferred Liabilty 195796 Pension Liability 18243647 18439443 1 1 1 X 1 X 1 1 1 0 1 1 1650212 2679643 0 0 3030898 1737303 1293595 0.012 13571970 8746407 4825563 0.0449 0 0 18253080 13163353 6119158 0.0569 137 122105 124238 0 124238 0.0012 310 369 1358890 0 1358890 0.0127 2866487 1455014 1411473 0.0131 0 0 0 0 0 0 13 1331 45883 2295 43588 0.0004 460 123805 4395498 1457309 2938189 0.0274 460 123805 22648578 14620662 9057347 0.0843 4 200 365 0 365 0 22 2959 10633 0 10633 0 206 6648 18386 0 18386 0 4 268 111345 7977 103368 0 4 181 5752 0 5752 0 14 3190 9137 0 9137 0 58 2751 25513 0 25513 0 54 757 201234 0 201234 0.00187 366 16954 382365 7977 374388 0.00187 1 1268259 88459 21478385 29408849 -7930464 X 1 1 1 1 Salem Community Hospital dba Salem Regional Medical Center 1995 East State Street Salem OH 44460 Salemregional.com X 15 bed skilled nursing facility Salem Community Hospital dba Salem Regional Medical Center 1 0 0 1 X X X X X X X X X 16 1 1 1 1 X salemregional.com X 1 16 1 salemregional.com 0 0 1 X 150 350 X 1 1 X X X 1 X salemregional.com X salemregional.com X X 1 X X 1 X X X X X 1 0 0 Schedule H, Part V, Section B, Line 5-Salem Community Hospital To take into account input from persons representing the community served, the CHNA primary data collection process included 4 focus groups conducted with a total of 49 adult participants, including physicians, school nurses, mayors/county commissioners and members of the largest county drug and alcohol coalition. In addition, 17 individual interviews were conducted with key stakeholders from diverse community groups and underrepresented population providers, including school Boards, area social service/community health providers, county government officials and providers of services to underserved and minority health populations. An internet and paper-based Community Needs Survey was conducted with 417 completed surveys obtained. Schedule H, Part V, Section B, Line 6a-Salem Community Hospital Along with Salem Regional Medical Center, East Liverpool City Hospital also provided financial support for the CHNA process Schedule H, Part V, Section B, Line 6b-Salem Community Hospital A collaborative workgroup conducted the CHNA, composed of the Columbiana County Educational Service Center, Columbiana County General Health District, Columbiana County Mental Health and Recovery Services Board, Community Action Agency of Columbiana County, East Liverpool City Health Department, East Liverpool City Hospital, RiverValley Physicians (Affiliated with East Liverpool City Hospital), Salem City Health Department and Salem Regional Medical Center. In addition, this workgroup developed a County Health Improvement Plan to address the CHNA's priorities. Schedule H, Part V, Section B, Line 7d-Salem Community Hospital The CHNA was posted on Salem Regional Medical Center's website, along with being posted on many of the collaborative partners' websites. In addition, a newsrelease was sent to the media regarding the findings of the CHNA, with information about how the general public could access the CHNA via the internet. A summary of the CHNA's findings was also presented to several community groups including social service providers and school health professionals. Schedule H, Part V, Section B, Line 11-Salem Community Hospital The Columbiana County Needs Assessment identified that more than half of county households have incomes at or below 200% of poverty. In addition, over one-fourth of Columbiana County's population depends on government assistance and/or retirement income. Regional health outcomes and social/economic/environmental rates that were worse than Ohio benchmarks included: higher rates of premature death/years of potential life lost before age 75, higher adult obesity rates combined with lower physical activity rates, higher percentage of people who report their physical health as fair or poor, lower mammogram screening compliance, lower high school graduation and post-secondary rates, higher teen birth rates, greater number of deaths due to injury, higher rates of alcohol-impaired driving and a higher index of air pollution. Data related to barriers in accessing clinical care indicated higher ratios of the population to primary care physicians, mental health providers and dental health providers, reflecting health professional shortages in these categories. In addition, focus group participants and stakeholders identified multi-faceted socio-economic issues related to the poor economy, increased drug abuse and mental health issues, lack of education, and unemployment as key environmental drivers of the health status of the community. Each of these needs is important and should be addressed by various county-wide organizations and/or community partners of the Medical Center. However, due to their societal magnitude and SRMC's limited resources and capacity to meaningfully impact the economic foundation of the county, SRMC has chosen to allocate significant resources to the priority health needs which yield the greatest opportunities to affect a positive change. As outlined in the 2016-2019 Implementation Plan, SRMC will focus on the CHNA's top 25 health priorities related to obesity/chronic disease; mental health/substance abuse and tobacco use/cancer prevention utilizing a three-year intervention strategy and defined target outcomes for each priority. Note that these priorities align with 9 of Ohio's top 10 health priorities as identified by the Health Policy Institute of Ohio in 2016. SRMC's Implementation Plan was approved by the Medical Center's Board in June 2016. Schedule H, Part V, Section B, Line 16j-Salem Community Hospital The availability of free or discounted care is provided on billing statements to patients and this information is also posted on a sign at the billing office. Schedule H, Part I, Line 6a Salem Regional Medical Center (SRMC) prepares an Annual Report that is distributed to the community via a paper and electronic format, as well as being posted on the SRMC website at www.salemregional.com. The Annual Report includes a summary of the Medical Center's statement of expenses and uncompensated care, along with highlighting SRMC's major community benefit initiatives and outcomes. This community benefit information is provided in an effort to document its tax exempt purpose and demonstrate the benefits provided for the broader community as determined by community need. Schedule H, Part I, Line 7 Costs are determined by applying the ratio of cost to charges to gross charges and utilizing the format as outlined in the Schedule H instructions. Beyond charity care, "Other Benefits" reported include community health improvement services and community benefit operations, with community building activities listed in Part II. The Medical Center seeks opportunities to further its tax exempt purpose by providing a wide variety of benefits for the broader community, including the development of a county-wide needs assessment to identify regional health needs and the development and adoption of a related Implementation Plan to address the health needs identified. Examples of other community benefit activities include, but are not limited to: grant-writing activities for improved community health; community health education regarding cancer, diabetes, arthritis, other chronic diseases, obesity prevention and women's health; and community health fairs and free and reduced-cost clinical screenings for high blood pressure, blood sugar and lung cancer. Many of these educational programs, screenings, health fairs and outreach activities are provided in outlying school districts and communities within the Medical Center's defined geographic service area, in an effort to increase regional access to health services and health resources for people of all ages and socioeconomic means. It is estimated that over 122,000 area residents participated in community health improvement programs and/or events provided and/or sponsored by Salem Regional Medical Center Schedule H, Part I, Line 7, Column f Bad debt expense in the amount of $3,057,973 is included in total expenses on Form 990, Part IX, line 25 but was subtracted for purposes of calculating the percentages in Schedule H, Part 1, Line 7. Schedule H, Part I, Line 7g Costs for subsidized health services include those attributable to providing obstetrical services and outpatient behavioral health services. There are no health services attributable to a physician clinic. Schedule H, Part II During the taxable year, SRMC participated in 366 different community building activities in an effort to provide programs and activities that respond to demonstrated, unmet community needs; improve the community's health and safety; and promote the well-being of area residents through the Hospital's resources and expertise. SRMC participated in several area activities for the local and regional Chambers of Commerce; was a leading collaborative partner in disaster readiness; assisted in environmental improvements related to community medications' disposal; represented SRMC on diverse community coalitions related to improving community health; assisted with workforce development related to recruiting and retaining physicians in medically underserved areas; participated in community workforce boards, partnerships with area universities to address the health care work force shortage and provided many school-based programs on health care careers, including offering teen and college student mentoring opportunities. SRMC continues to serve as a community resource and partner for regional non-profit organizations by providing collaborative programming with agencies such as the American Cancer Society, American Diabetes Association, American Heart Association, American Red Cross, Columbiana County Community Action Agency, Columbiana County and Salem City Departments of Health, Coordinated Action for School Health, Hospice of the Valley, Kent State University- Salem Campus, Northeast Ohio Workforce Development, Northeast Ohio Medical University, Salem Area Visiting Nurses Association and the Salem Community Center. In addition, SRMC makes financial and in-kind contributions to many of these and other not-for-profit organizations through event sponsorships and staff support. Schedule H, Part III, Section A, Line 4 Excerpt from footnote: "Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Center analyzes its past history and identifies trends for each of its major payer sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for uncollectible accounts. Management regularly reviews data about these major payer sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Center analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for uncollectible accounts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payer has not yet paid, or for payers who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Center records a significant provision for uncollectible accounts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated or provided under the Center's Financial Assistance Policy) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. The cost of bad debt was determined by applying the Medical Center's cost to charge ratio to the charges that were written off to bad debt. The Hospital believes this is a community benefit because the patients who may likely qualify for assistance under the Hospital's Financial Assistance Policy do not or are unwilling to provide documentation of the eligibility for charity care and therefore are classified as bad debt. The hospital is very willing to work out payment arrangements and discounted fees; however those patients unwilling to respond to repeated offers of assistance are categorized as bad debt expense. Had information been made available to make a determination of their eligibility, the Hospital believes that many patients classified as bad debt would qualify for charity care. This judgement is based on the economic conditions and specific knowledge of the patients involved. Schedule H, Part III, Section B, Line 8 The costs were obtained from the Medicare cost report. The Medical Center incurred costs in excess of $29.4 million to care for and treat beneficiaries while receiving reimbursement of $21.5 million, leaving a shortfall of $7.9 million. This is a direct benefit provided by the Medical Center to local beneficiaries who live in the surrounding communities. Schedule H, Part III, Section C, Line 9b Per the Medical Center's collection policy, the Medical Center will not pursue collection for non-payment of bills against individuals who demonstrate that they have neither sufficient income nor assets to meet their financial obligations. Schedule H, Part VI, Line 2 SRMC formally assesses the healthcare needs of the communities that it serves on a minimum of a triennial basis, and does so in collaboration with other community health providers. The most recent comprehensive, county-wide needs assessment was published in June 2016, and was developed by a collaborative of Columbiana County's major health providers, public health entities, and health-focused coalitions including Salem Regional Medical Center; East Liverpool City Hospital; the Columbiana County, East Liverpool and Salem City Health Departments; Columbiana County Educational Service Center; Community Action Agency of Columbiana County; the Coordination Action for School Health (CASH) Coalition; and the Columbiana County Mental Health Services and Recovery Board. The CHNA process began in August 2015, with the development of the project plan and timeline. The above mentioned collaborative convened in October 2015 and continued meeting through April 2016 to evaluate the previous CHNA, collect and analyze primary and secondary data, conduct community asset mapping and identify issues and select priorities to address through the development of the 2016 CHNA. Strategy Solutions, Inc. was retained to facilitate the process and provide data analysis and prioritization support. The geographic area of the needs assessment encompassed Ohio's Columbiana County, most of which is within Salem Regional Medical Center's Service Area; and prioritized the public, primary and specialty health care needs of community members from birth through end-of-life care. The CHNA action plan and report development were presented to and approved by the SRMC Board in June 2016, and distributed to all participating coalition organizations. The SRMC Implementation Plan was approved by the Board in November 2016, and both documents are posted on the SRMC website at: http://www.salemregional.com/about-us/our-publications: Community Health Needs Assessment and SRMC Implementation Plan. The Medical Center will carry forward its implementation strategies by addressing them in its Strategic Plan and annual Organizational Goals. In addition, SRMC is a collaborative partner in other types of needs assessments, such as the school health asset study through the Search Institute, conducted on an annual basis with area school districts; a multi-disciplinary assessment of substance abuse incidence and treatment needs via the county-wide ADAPT coalition; behavioral health needs in collaboration with the Mental Health and Recovery services Board; and minority health access needs in collaboration with faith-based and literacy-based advocacy groups. Schedule H, Part VI, Line 3 The availability of free or discounted care is provided on billing statements to patients and this information is also posted on a sign at the Hospital's billing office. Schedule H, Part VI, Line 4 Salem Regional Medical Center's rural service area is officially designated as within one of Ohio's 32 Appalachian counties and includes Columbiana County, excluding Yellow Creek and East Liverpool Townships; and the five lower townships of Mahoning County. Portions of Columbiana County are also designated as Medically Underserved, and as a dental and mental health care Health Professional Shortage Areas. The Robert Wood Johnson 2018 County Health Rankings data also showed that Columbiana County faces a significant barrier to access as indicated by the county's ratio of the population to primary care providers (2,280:1) being higher than Ohio (1,310:1); and the county's ratio of dentists (4,320:1) being considerably higher than Ohio (1,660:1). Columbiana County residents are older than their state and national counterparts, and the Service Area is characterized by a declining social, economic and population base, which impacts the area's health status problems and health service utilization. Lack of insurance is also a barrier to access, with the rate of uninsured Columbiana County adults higher than Ohio. Poverty is also a factor with more than half of the county's population at or below 200% of the federal poverty level. Regional health outcomes and social/economic/environmental rates that were worse than Ohio benchmarks included: higher rates of premature death/years of potential life lost before age 75, higher adult obesity rates combined with lower physical activity rates, higher percentage of people who report their physical health as fair or poor, lower mammogram screening compliance, lower high school graduation and post-secondary rates, higher teen birth rates, greater number of deaths due to injury, higher rates of alcohol-impaired driving and a higher index of air pollution. Health disparities are also more common among those with lower incomes as well as in Appalachian communities. The county has a high percentage of obesity and sedentary behavior compared to other Ohio counties, and only small percentages of residents engage in health habits related to physical activity and nutrition. The area also has a low educational attainment rate with 20% of adults having no high school diploma. Schedule H, Part VI, Line 5 Salem Regional Medical Center actively seeks opportunities to further the community's health status by providing a wide variety of benefits for the broader community, including grant-writing activities for improved community health; financial and in-kind contributions for community based feeding programs, blood drives, social services for vulnerable populations (including assistance with medications, transportation, limited English proficiency and referrals to support systems); community health education regarding cancer, diabetes, arthritis, chronic diseases, obesity prevention and women's health; and community health fairs and free and reduced-cost clinical screenings. Many of these educational programs, screenings, health fairs and outreach activities are provided in outlying school districts and communities within the Medical Center's defined geographic service area, in an effort to increase regional access to health services and health resources for people of all ages and socioeconomic means. It is estimated that over 120,000 area residents participated in community benefit programs and/or events provided and/or sponsored by Salem Regional Medical Center. SRMC also utilizes an active volunteer base, with 133 community members donating over 12,279 hours of volunteer service annually. In addition, the SRMC Board of Directors is comprised of 19 community volunteers from the SRMC Service Area, who perform fiduciary responsibilities through monthly committee and Board activities. X X 0 0 0 0 0 0 0 0 0 Anita Hackstedde President/CEO 336945 0 0 0 0 0 30137 0 14945 0 382027 0 0 0 Mike Giangardella VP Finance/Administration 206669 0 0 0 0 0 54638 0 8309 0 269616 0 0 0 Barbara Hirst VP Nursing/Human Resources 175894 0 0 0 0 0 71429 0 8309 0 255632 0 0 0 Keith Meredith VP Clinical Operations 154988 0 0 0 0 0 24977 0 8309 0 188274 0 0 0 Dr Meredith Mcnally Chief of Staff 0 276537 0 22715 7500 0 0 7269 0 13852 7500 320373 0 0 Sue Bryarly Director of Pharmacy 139346 0 0 0 0 0 14126 0 8309 0 161781 0 0 0 Mark LItalien Director Information Services 134314 0 0 0 0 0 54699 0 16626 0 205639 0 0 0 Doreen Sheck Pharmacist 121071 0 0 0 0 0 10317 0 24933 0 156321 0 0 0 Diane Spalding Pharmacist 126148 0 0 0 0 0 5157 0 0 0 131305 0 0 0 Kimberly Meek Pharmacist 122363 0 0 0 0 0 12580 0 8309 0 143252 0 0 0 A City Of Salem Ohio 346002560 2013-04-04 52000000 Hospital Facility Construction 0 1 0 A 296000292 0 52000000 0 193598 0 168913 0 160493 21883897 6893 0 2014 0 1 1 1 A 0 1 0 0 0.0112 0 0.0112 1 0 1 A 0 0 1 0 1 0 0 0 1 A 1 Form 990, Part III, Line 2 SRMC has collaborated with the University Hospitals Seidman Cancer Center to offer a full complement of medical and radiation oncology services locally. In June 2018, SRMC began providing outpatient radiation oncology services through its new Radiation Therapy department, which houses a linear accelerator on the Hospital's campus. Prior to this time, radiation therapy services were offered to patients through a private, physician practice. Form 990, Part III, Line 3 On May 12, 2018, SRMC discontinued providing obstetrics services due to the county's declining birth rate and decreased patient demand. Active maternity patients were transitioned to area maternity centers and community providers over a period of three-months. Form 990, Part VI, Section B, Line 11b The 990 is made available for review to the governing board prior to filing Form 990, Part VI, Section B, Line 12c Each member of the Hospital's governing body, along with the Administrative staff, are required to review and disclose conflicts of interest in accordance with the Hospital's code of Regulations. On an annual basis, Directors and Key employees disclose potential business or professional relationships they may have with the Organization and/or other Directors /Key employees. In situations when a Director may have a conflict, they may participate in the discussion, but must leave the room prior to final discussion and vote. Form 990, Part VI, Section B, Line 15 The President's compensation is determined by the Board of Directors of Salem Regional Medical Center, based upon the recommendation of the Board's Executive Committee, both of which are comprised primarily of independent board members. The committee evaluates market data through formal statewide surveys, as well as targeted regional survey data. Form 990, Part VI, Section C, Line 19 As a private,not-for-profit organization,Salem Regional Medical Center does not make its governing documents or financial statements generally available to the public,although the federal form 990 is available for review upon request. Form 990, Part XI, Line 9 Change in defined benefit pension plan loses,prior service costs or credits,and transition asset or obligations $5,775,772,transfers to related organizations -$4,864,345,decrease in restricted net assets -$85,975 SCH Professional Corporation 1995 East State Street Salem OH 44460 341764515 Physician Offices OH 501(c)(3) 11 Salem Community Hospital 0 The Charitable Foundation of Salem Community Hospital 1995 East State Street Salem OH 44460 462902698 Support Salem Community Hospital OH 501(c)3 11 Salem Communiy Hospital 0 Salem Medical Arts & Development Corporation 2020 East State Street Salem OH 44460 341049534 Office Rent OH N/A C 1 0 0 1 1 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 SCH Professional Corporation j 160434 Cost per sq.foot. SCH Professional Corporation b 4864345 Actual capital contribution SCH Professional Corporation o 180040 Actual salaries and benefits paid The Charitable Foundation of Salem Community Hospital c 53000 Contribution received from contributing organization The Charitable Foundation of Salem Community Hospital o 53505 Actual salaries and benefits paid.